Evidence map›Paper›PMID 34482179›Full record

Trial reportESMO open2021

A randomized phase II study comparing the efficacy and safety of the glyco-optimized anti-EGFR antibody tomuzotuximab against cetuximab in patients with recurrent and/or metastatic squamous cell cancer of the head and neck - the RESGEX study.

K Klinghammer, J Fayette, A Kawecki, A Dietz, P Schafhausen, G Folprecht, S Rottey, P Debourdeau, J Lavernia, A Jacobs and 6 more

Open access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in ESMO open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 5 countries.

K KlinghammerDepartment of Hematology, Oncology and Cancer Immunology, Campus Benjamin Franklin Charité - Universitätsmedizin Berlin, Berlin, Germany; Charité Comprehensive Cancer Center, Berlin, Germany. Electronic address: Konrad.klinghammer@charite.de.
J FayetteMedical Oncology, Centre Léon Bérard, Lyon, France.
A KaweckiCancer Center-Maria Sklodowska-Curie Memorial Institute, Warsaw, Poland.
A DietzUniversity of Leipzig, Leipzig, Germany; Outpatient Chemotherapy, University of Leipzig, Leipzig, Germany.
P SchafhausenUniversitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
G FolprechtUniversity Hospital Carl Gustav Carus, Dresden, Germany.
S RotteyGhent University Hospital, Department of Medical Oncology, Ghent, Belgium.
P DebourdeauInstitut Sainte-Catherine, Avignon, France.
J LaverniaF.I.V.O., Valencia, Spain.
A JacobsPremier Research, Reading, UK.
I Ahrens-FathGlycotope GmbH, Berlin, Germany.
B DietrichGlycotope GmbH, Berlin, Germany.
H BaumeisterGlycotope GmbH, Berlin, Germany.
A ZurloGlycotope GmbH, Berlin, Germany.
S OchsenreitherDepartment of Hematology, Oncology and Cancer Immunology, Campus Benjamin Franklin Charité - Universitätsmedizin Berlin, Berlin, Germany; Charité Comprehensive Cancer Center, Berlin, Germany.
U KeilholzCharité Comprehensive Cancer Center, Berlin, Germany.
Glycotope (Germany) · DECharité - Universitätsmedizin Berlin · DECentre Léon Bérard · FRGhent University Hospital · BEInstitut Sainte Catherine · FRLeipzig University · DEPremier Foods (United Kingdom) · GBThe Maria Sklodowska-Curie National Research Institute of Oncology · PLUniversität Hamburg · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the RESGEX study was to compare the efficacy and safety of the anti-epidermal growth factor receptor (anti-EGFR) antibody tomuzotuximab against cetuximab both in combination with chemotherapy in patients with recurrent and/or metastatic squamous cell cancer of the head and neck in the first-line treatment. PATIENTS AND

methodsIn this phase II trial 240 patients were equally randomized for six cycles to receive either tomuzotuximab (initial dose 990 mg then 720 mg) weekly and cisplatin 100 mg/m

resultsMedian progression-free survival was 6.5 months [95% confidence interval (CI) 5.9-7.9 months] in the tomuzotuximab group and 6.2 months (95% CI 5.8-7.3 months) in the cetuximab group (P = 0.86). The median overall survival (OS) estimate was 11.6 months (95% CI 9.5-17.2 months) in the tomuzotuximab group and 13.8 months (95% CI 12.3-16.4 months) in the cetuximab group (P = 0.96). In an exploratory analysis a small subgroup of p16-positive patients had a significantly longer OS compared with p16-negative patients (hazard ratio 1.860, 95% CI 1.09-3.16, P = 0.02).

conclusionsThe glyco-engineered antibody tomuzotuximab failed to demonstrate improved efficacy with a chemotherapeutic backbone in the first-line treatment of recurrent or metastatic head and neck squamous cell carcinoma. It remains a so far unanswered question whether such antibody would partner better with different drugs such as checkpoint inhibitors.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCetuximabEpithelial CellsHumansNeoplasm Recurrence, LocalCetuximabADCCcetuximabhead and neck cancerHNCHNSCCpalliative caretomuzotuximab

Identifiers

PMID34482179
PMCPMC8424211
OpenAlexW3196927548

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.